A CASE OF ONE-STAGE OPERATION FOR ABDOMINAL AORTIC ANEURYSM WITH SYNCHRONOUS DOUBLE CANCER OF THE STOMACH AND RECTUM
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An 82-year-old man was admitted to the hospital because of an abdominal mass and anorexia. Abdominal ultrasonography (US) and CT scan revealed an infrarenal type abdominal aortic aneurysm 7.6×10 cm in dimension. Upper gastrointestinal endoscopic examination revealed type 3 advanced cancer at the antrum and type IIc cancer at the middle body of the stomach. In adittion advanced cancer of the upper rectum was detected by barium enema. One-stage operation was carried out for the concomitant infrarenal abdominal aortic aneurysm and double advanced cancer of the stomach and rectum. In this case, a resection and grafting of the aneurysm preceded a distal partia gastrectomy and a Hartmann's operation. The postoperative course was uneventful without graft infection. He is doing well without signs of recurrence as of six months after the operation. We report that the one-stage operation is possible for abdominal aortic aneurysm with synchronous cancer of the upper and lower gastrointestinal tract under a careful attention to prevent graft infection.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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